HomeMy WebLinkAbout3272 TWIN HERON CT - SPECIAL INSPECTIONS - 3/31/2021,; F:Cityof ~tCollins '-=: ~----.: ~ ,.. --f Community Development & Neighborhood Services, 281 N College Ave; P.O. Box 580; Fort Collins, CO 80522-0580 Phone: 970 221 6760 FAX: 970 224 6134 Field Verification Form Job Site 12 zz rw rtJ rf£R@N c..T Permit No. _______ _ Company Name 1<ahv Plwbtllj 4 lt(A-b'!tj) !llL. City of Ft Collins Lie# I>'/ /J. C/t/ __ Replacement of Sewer line __ Replacement of Water line _x Add __ Replace gas line approx. ____ ft. (100 ft. maximum) approx. ___ ft. (100 ft. maximum) approx. o?-.:/: ft. ( 50 ft. maximum) Materials used: ..3 /t.{ /3 LAC :k -f \ f Ir Tested at / D Lbs. for -J=:_O minutes Installer Name (print) "' 1, ,,..,,,v,V\.vh'I...,. Installer Signature L:::::::fy '--~ Date ___________ _ ~